Microwave ablation catheter and method of utilizing the same

Patent metadata

Field	Value
Publication number	US-9370398-B2
Application number	US-201313837978-A
Country	US
Kind code	B2
Filing date	Mar 15, 2013
Priority date	Aug 7, 2012
Publication date	Jun 21, 2016
Grant date	Jun 21, 2016

Abstract

A method for treating lung tissue of a patient is provided. A pathway to a point of interest in a lung of a patient is generated. An extended working channel is advanced transorally into the lung and along the pathway to the point of interest. The extended working channel is positioned in a substantially fixed orientation at the point interest. A tool is advanced though the extended working channel to the point of interest. The lung tissue is treated at the point of interest.

First claim

What is claimed is:

1. A method for treating lung tissue of a patient, comprising:
generating a pathway to a point of interest in a lung of a patient;
advancing an extended working channel trans-orally into the lung and along the pathway to the point of interest;
positioning the extended working channel in a substantially fixed orientation at the point of interest;
advancing a microwave ablation catheter through the extended working channel to the point of interest, the microwave ablation catheter having a coaxial cable connected at the proximal end of the coaxial cable to a microwave energy source and at the distal end of the coaxial cable to a distal radiating section, the coaxial cable including inner and outer conductors and a dielectric positioned therebetween, the inner conductor extending distally past the outer conductor and in sealed engagement with the distal radiating section; and
treating the lung tissue at the point of interest.

2. The method according to claim 1 , including positioning a bronchoscope within a patient.

3. The method according to claim 1 , including positioning a locatable guide within the extended working channel for positioning the extended working channel to the point of interest.

4. The method according to claim 3 , including, prior to advancing the tool through the extended working channel, removing the locatable guide from the extended working channel.

5. The method according to claim 1 , including ablating the lung tissue.

6. The method according to claim 1 , including, prior to treating the lung tissue, confirming the placement of the extended working channel at the point of interest.

7. The method according to claim 1 , including penetrating the lung tissue at the point of interest.

8. The method according to claim 1 , including confirming that the lung tissue has been effectively treated.

9. The method according to claim 1 , including providing the microwave ablation catheter with
a balun formed in part from a conductive material electrically connected to the outer conductor of the coaxial cable and extending along at least a portion of the coaxial cable, the conductive material having a braided configuration and covered by at least one insulative material.

10. The method according to claim 1 , wherein generating includes utilizing a guidance system that is configured for planning the pathway to the point of interest and for guiding and navigating one of the tool, extended working channel or the locatable guide through the lungs of a patient.

11. The method according to claim 10 , wherein the pathway is generated based on computed tomographic (CT) data of the luminal network, and is displayed in a generated model.

12. The method according to claim 10 , wherein the pathway is generated from CT data to identify a pathway to the point of interest identified by a user in the CT data, and the pathway is generated for acceptance by the user before use in navigating.

13. The method according to claim 1 , including positioning a plurality of sensors adjacent the diseased lung tissue, wherein the plurality of sensors are configured to communicate with at least one controller that is in communication with one of the guidance system and the microwave energy source.

14. The method according to claim 13 , wherein positioning includes positioning at least one of the plurality of sensors within an airway adjacent the lung tissue.

15. The method according to claim 13 , including utilizing the plurality of sensors to measure at least one property of the lung tissue, wherein the at least one property of the lung tissue is selected from the group consisting of impedance of the lung tissue, temperature of the lung tissue or dielectric of the lung tissue.

16. A method for treating lung tissue of a patient, comprising:
advancing an ablation device endobronchially to a target in a lung of a patient, the ablation device having a coaxial cable connected at the proximal end of the coaxial cable to an energy source and at the distal end of the coaxial cable to a distal radiating section, the coaxial cable including inner and outer conductors and a dielectric positioned therebetween, the inner conductor extending distally past the outer conductor and in sealed engagement with the distal radiating section;
inserting the ablation device into a center of the target;
confirming placement of the ablation device within the target using an imaging modality; and
energizing the ablation device to heat the target.

17. The method according to claim 16 , including generating a pathway to the target.

18. The method according to claim 16 , including positioning a bronchoscope within a patient.

19. The method according to claim 16 , including positioning an extended working channel in a substantially fixed orientation at the target.

20. The method according to claim 19 , including positioning a locatable guide within the extended working channel for positioning the extended working channel at the point of interest.

21. The method according to claim 16 , including, prior to advancing the ablation device through the extended working channel, removing the locatable guide from the extended working channel.

22. The method according to claim 16 , including ablating the target.

23. The method according to claim 16 , including, prior to treating the target, confirming the placement of the extended working channel at the point of interest.

24. The method according to claim 16 , including penetrating the target at the point of interest.

25. The method according to claim 16 , including confirming that the target has been effectively treated.

Assignees

• Covidien Lp

Inventors

• Ladtkow Casey M
• Brannan Joseph D
• Peterson Darion R
• Larson Eric W
• Haley Kaylen J
• Dickhans William J
• Case Jason A

Classifications

• A61B5/0036

  including treatment, e.g., using an implantable medical device, ablating, ventilating · CPC title

• A61B5/7425

  Displaying combinations of multiple images regardless of image source, e.g. displaying a reference anatomical image with a live image · CPC title

• A61B6/12

  Arrangements for detecting or locating foreign bodies · CPC title

• A61B6/487

  involving fluoroscopy · CPC title

• A61B2018/1861

  with an instrument inserted into a body lumen or cavity, e.g. a catheter · CPC title